Online Application Form

Note: Before completing the online application form you should have satisfied all the 6 counts given in Application Details (Who can apply?)

 

Fields marked * are obligatory.

Confirmation
I confirm satisfying the 6 application requirements listed in Application Details

Yes

*

No
Personal Details
Title *
Surname (family name) *
First name *
Address 1 *
Address 2 *
Address 3 *
Post Code *
Country *
Telephone number
Email address *
Date of birth *
Country of permanent residence *
Employment status *
Job title
Preferred address for correspondence
Company Details
Name
Address 1
Address 2
Address 3
Post Code
Country
Company telephone
Company email
Fax No
Study Intentions
Award aim and programme name

Associate student studying one or more modules as short courses for career development (CPD).

 

Postgraduate qualification in Electronic Product Development.
(Focus is on design of electronics within products)

 

Postgraduate qualification in Advanced Microelectronics.
(Focus is on design of custom ICs, i.e. ASICs)

*

Please state the module code you want to study first.

See Module Availablility

e.g. AMI4655

*
Expected start date *
Who will pay your tuition fees?  *
Academic record, including continuing professional development.
As a minimum, please state your highest academic qualification		 | Date | Qualification (if applicable) | Subject | Place of study | Grade (if applicable) |
*
Employment history (including work placements if any).
Short course applicants do not need to complete this section.		 *
Further information.  Please tell us anything further that you think is relevant.
How did you hear of this course?
Please give the name and address of the person or organisation who will pay your fees, if it is not yourself.

KS: 23.04.10